Osteoarthritis (joint) – painful joints
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Osteoarthritis (degenerative joint disease) develops insidiously. Typical of an incipient arthritis include joint pain, which occur particularly after periods of rest: a sharp, sudden pain that eventually subsides upon further movement.
Osteoarthritis begins when the articular cartilage wears out gradually. Later in the joint space becomes narrower until the ends of the bones rub directly on one another eventually. Then take the surrounding bones and ligaments in the joint damage.
From age 60 of osteoarthritis in the knee or hip joint can be detected at about 20 percent of those signs. However, such visible signs of degenerative joint disease are not necessarily accompanied by pain. Only about one in two also symptoms occur.
At a physical examination the doctor judged also:
In case of damage to the knee and hip joints abnormalities in gait are usually visible.
In osteoarthritis, the range of motion of the affected joint is often limited.
The X-ray is the important test, To confirm the diagnosis in suspected osteoarthritis. Typical radiographically detectable changes include:
In addition, sometimes further investigations be necessary, such as:
There are no typical laboratory findings, speak for osteoarthritis. Blood tests are still useful to delineate the diagnosis of other joint diseases such as rheumatoid arthritis or gout. In addition, it can be said as to whether a so-called active osteoarthritis is present. It is an inflammatory flare-up of an existing osteoarthritis. In such a case, certain inflammatory markers may be elevated in the blood, such as erythrocyte sedimentation rate.